Texas insurer accused of failing to report fraud to DOI
The Texas Windstorm Insurance Association failed to report suspected fraud to regulators, according to a report of an investigation by The...
Read more
New loss ratios exclude expenses for combating fraud
The Obama administration issued rules on Monday defining a promise to consumers in the new federal health-care law that insurers will...
Read more
HHS expected to announced loss ratio regs on Monday
Federal regulations detailing how health plans can meet new requirements that they spend 80 percent or more of premiums on medical...
Read more
State regulators vote to exclude fraud from loss ratio
Insurance regulators today approved controversial rules governing how much insurers must spend on patients’ medical care – without adopting last-minute amendments...
Read more
Missouri regulators fine bogus health insurers $1 million
Missouri Insurance Director John Huff has fined companies and people selling bogus health insurance plans in the state more than $1...
Read more
N.Y. DOI fines insurer $1.9M for EOB, claims violations
Two Health Net companies paid a $1.9 million fine to settle allegations including not providing consumers with the required information on...
Read more
Limited benefit health plan fined $500K by N.Y. DOI
Cinergy Health Inc., a Florida-based insurance agent that advertised low cost health insurance plans on late night television, the Internet and...
Read more
N.Y. fines AEtna $850K for EOB, payment violations
Health insurer Aetna paid a fine of $850,000 to settle charges including incomplete disclosures on “explanation of benefit” forms to consumers,...
Read more
Two insurers in Calif. fined $505K for claims violations
Insurance Commissioner Steve Poizner announced today that a settlement has been reached in an enforcement action against Civil Service Employees Insurance...
Read more
20 N.Y. health insurers fined for late claims payments
The New York State Insurance Department today announced that 20 health insurers and health maintenance organizations (HMOs) have been fined $716,800...
Read more